Post-Operative Analgesia in Inguinal Hernia Repair by Quadratus Lumborum Versus Transversalis Fascia Block

Background: Surgeries for inguinal hernias are common. Post-operative pain caused by traditional analgesics has worsened. Aim and objectives: To evaluate the efficacy of two postoperative pain relief techniques for patients having a unilateral inguinal hernia repaired: a transmuscular quadratus lumborum block and an ultrasound-guided transversalis fascia plane block. Patients and Methods: This single-masked upcoming randomized clinical study for pain control post-operative patients was conducted on 50 patients divided into two groups [QL versus TS] with anesthesiologists’ companionship in American physical states I and II, aged 21–45 years old, who underwent unilateral repair of an inguinal hernia at Police and Al. Hussain University Hospitals. Results: There was no significant variance amongst QL & TF blocks in the pain score at rest and movement (p > 0.05). A significant distinction existed amongst QL and TF blocks in ease performance (p = 0.0039). There was a statistically significant increase in the heart rate in the TF group compared to QL group 2 and 24 hours postoperatively (P = 0.0015, 0.003, respectively). There was a significant difference in hemodynamics at 1st hr, 4 hr, 12 hr, and 24 p = (0.000039, 0.03838, 0.02684, and 0.00596). Conclusion: When it comes to reducing pain scores as well as opiate intake during non-recurrent inguinal herniorrhaphy, the ultrasound-guided TFP block may be just as effective as the QL block. Technically, a US-guided TFP block is more convenient and quicker.